REGISTER

Registration Form

Category of Participant*

Company/Organization Name*

First Name/s*

Family Name*

Street Address

City

Postal/Zip Code

Country*

Mobile Number (including country dialing code)*

Email address*

Special Dietary Requirements

I REQUIRE A VISA*

(If you are uncertain about your visa status, please read the information in the Visa & Travel Info section of the website)

For participants who require a visa to visit the European Union, please complete the following section of the registration form:

Passport Number

Nationality

Date of Issue of Passport

Place of Issue

Date of Expiry of Passport

Date of Birth

Expected Date of Arrival

Expected Date of Departure

Address in Belgium

INTERNATIONAL HEADQUARTERS

580 Fifth Avenue, Suite 613
New York, NY
10036 USA

CONTACT

Phone: +243 (81) 265 3519
Email: info@worlddiamondcouncil.org

Registration Form

INTERNATIONAL HEADQUARTERS

CONTACT

HOST ORGANIZATION